PINNACLE FAMILY CARE PRACTICE NPI 1053066936

NPI Information

PINNACLE FAMILY CARE PRACTICE is a family nurse practitioner in Baltimore, MD. PINNACLE FAMILY CARE PRACTICE NPI is 1053066936. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pinnacle Family Care Practice.

The provider's business location address is:

5835 YORK RD
BALTIMORE, MD
ZIP 21212-612
Phone: (443) 912-5077
Fax: (410) 835-7865

The provider's authorized official is Adenike A. Popoola .
The authorized official title is Managing Director and has the following contact phone number (443) 527-1497.

The CLIA number assigned to this NPI record is 21D2268045 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2022 and was last updated on 11/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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